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Exam (elaborations)

NBCOT: AMPUTATIONS question with correct answers 2023

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NBCOT: AMPUTATIONS question with correct answers 2023 AMPUTATIONS - correct answer ~LE amputations 3x more often than UE amputations TYPES OF AMPUTATIONS - correct answer Congenital Traumatic Surgically UE amputation - correct answer Most common cause is trauma LE amputation - correct answer Most common cause is vascular disease Goal of Surgical Amputation - correct answer Residual limb that is pain free & functional POST-OT & PRE-PROSTHETIC PHASE - correct answer Signs & Symptoms: Pain Skin complications Edema of residual limb Bone spurs Neuroma on distal end of residual limb Phantom limb Phantom sensation SKIN COMPLICATIONS IN POST-OP PHASE - correct answer delayed healing, necrosis, skin graft adherence to bone PHANTOM LIMB - correct answer sensation that missing limb is still there usually not painful may remain for duration of person's life PHANTOM SENSATION - correct answer sensation appears to occur in missing limb can be of any type cramping, relaxed, numb, cold, burning Neuroma - correct answer neuroma a tumor or new growth largely made up of nerve cells and nerve fibers, can occur post-amputation PROSTHETIC PHASE - correct answer Signs & Symptoms: -skin ulcers from ill fitting prosthesis socket/wrinkles in prosthetic sock -sebaceous cysts from torque of prosthetic socket -edema from ill fitting socket or too-tight prosthetic sock -sensory changes SENSORY CHANGES IN PROSTHETIC PHASE - correct answer -loss of sensory information resulting from missing limb -residual limb hyperesthesia (over-sensitivity) -areas of absent/impaired sensation -phantom limb/phantom sensation DIAGNOSIS - correct answer The level of limb amputation is identified by which joint or long bone has been amputated through ABOVE THE KNEE AMPUTATION - correct answer transfemoral BELOW THE KNEE AMPUTATION - correct answer transtibial

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